Detail PPC request form

1. Internet Marketing Dog Agency
1331 Alberni Street
Vancouver, Canada
Tel. +1 (604) 282 6414
info@internetmarketingdog.com www.internetmarketingdog.com
Pay Per Click Application Form
1. Contact information
1.1 Company legal name/ Individual name (if self-employed)
1.2 Contact Person
1.3 Contact Number
1.4 E-mail address
2. Business industry
2.1 What is your domain name?
2.2 If you do not have a website, would you be interested in getting it developed for you? (web
development)
Yes
No
2.3 What is your businesses industry?
2.4 What is your geographic target market?

2. 2.5 Are you planning on expanding your business outside of its current geo-market territory?
2.6 Please list all your products / services that you would like us to focus on (please list them in
a priority order starting with the most to the least important)
2.7 Please tell us about your competitors. Who are they?
2.8 What is your Unique selling proposition (What makes you different/distinctive from your
competitors?)
2.9 Please provide some keyword ideas. No more than 15 keywords (example - cleaning
services, window cleaning, carpet cleaning, residential cleaning, affordable cleaning,
professional cleaning services, etc)
3. PPC Intake questions
3.1 Do you have any existing Google AdWords and/or Bing Ads accounts?
Yes
No
3.2 Would you like us to create a new campaign? (As an alternative, we can continue with your
existing Google AdWords/Bing Ads account)
Yes
No

3. If you would like to use your current account(s), please provide the following details:
>>> Google Adwords Login Details
User name Password
>>> Bing Ads Login Details
User name Password
3.3 Would you like to approve the selected keywords and ad text before the campaign launch or
do you authorize us to add them directly?
Send for approval
Add directly to the campaigns
a) Advance PPC questions (please skip this step if it does not apply to you):
3.4 What is the goal of Pay Per click campaigns (call to action, request, sign up etc)?
Please use one of the options or specify your own version.
3.5 Do you have AdWords conversion tracking code installed in the "Thank You" page of your
website?
Yes
No
3.6 If not, then should we mail you the code or will you be able to install it yourself? (Thank you
page is a page that comes only after completion of transaction (purchase) or submission of sign
up/registration or contact us forms)
I will install it myself
I need your help to install it

4. 3.6 Can you give us the ‘FTP access’ and ‘name of the conversion page (Thank you page)’ to install
the conversion tracking code?
FTP URL FTP Username FTP Password
Thank you page URL
3.7 Do you have Google Analytics code installed on your website? If yes, then please provide us
with the login details.
User Name Password
4. Budget
4.1 What is your package (monthly budget) for Pay Per Click promotion?
>> If you choose Custom Package, please specify the terms (monthly budget, other
conditions)
Thank you for your time. If you have any questions, please contact us
info@internetmarketingdog.com
http://www.internetmarketingdog.com